Executive Director – National Network Management
Job Description:
• Lead a national contracting team in enterprise-wide negotiations with large national provider, ensuring alignment with CVS Health’s strategic priorities.
• Manage the provider relationship, ensuring consistent execution of strategic initiatives, performance metrics, and relationship management.
• Develop and implement innovative national contracting strategies that leverage CVS Health’s integrated assets, including the care delivery model.
• Achieve strategic national network goals by successfully closing provider negotiations, managing day-to-day operations, and overseeing the full contracting lifecycle from strategy through execution.
• Drive execution and closure of complex national provider agreements, ensuring alignment with enterprise cost, adequacy, and compliance standards.
• Demonstrate strong executive presence in high-level engagements, facilitating strategic discussions with senior leadership to ensure alignment and support.
• Deliver compelling executive-level presentations that influence decision-making and advance enterprise-wide initiatives.
• Provide strategic direction and coaching to account executives to ensure high-impact engagement with Tenet and internal stakeholders.
• Manage the operational performance and infrastructure of the Tenet network to meet cost containment, profitability, and regulatory goals.
• Collaborate with Clinical and Medical Economics teams to analyze market trends and implement cost management strategies that improve medical cost outcomes.
• Evaluate market dynamics and partner with Clinical Functions to drive national initiatives that improve cost structure and partnership effectiveness.
• Oversee national agreements, Joint Operating Committees (JOCs), and complex projects, streamlining and centralizing operational processes for efficiency and scalability.
• Represent the organization in high-stakes negotiations and external engagements, ensuring alignment with legal, regulatory, and reputational standards.
• Establish national network strategy and drive innovation across traditional and emerging care models for all lines of business.
• Lead expansion efforts and strategic partnerships with Tenet to support enterprise growth and market differentiation, aligned with local and national goals.
• Foster strong collaboration across local networks and enterprise functions to ensure internal alignment and successful external partnerships.
• Develop and deliver key messaging and represent the company at industry conferences, external forums, and provider negotiations.
• Build and maintain trusted relationships with Market Chief Network Officers and Territory Chief Network Officers, and engage with Market Presidents, CFOs, and Medicare GMs to align and execute strategies that drive profitable membership growth.
Requirements:
• 10+ years of experience in healthcare contracting, medical economics and field or national network experience.
• Experience negotiating contracts with large hospital systems, including complex negotiations.
• Provider relations experience will be valued
• High emotional intelligence and cultural agility, with the ability to build strong relationships across diverse regional markets
• Deep understanding of market dynamics, cost drivers, and regulatory environments.
• Strong understanding of CMS regulation
• Ability to think strategically and broadly from a national enterprise perspective.
• Strong presentation and communication skills; ability to consult as well as negotiate.
• Strong analytical skills including root cause analysis.
• Skilled at collaborating and working across a complex matrixed organization.
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Apply Now
Apply Now
• Lead a national contracting team in enterprise-wide negotiations with large national provider, ensuring alignment with CVS Health’s strategic priorities.
• Manage the provider relationship, ensuring consistent execution of strategic initiatives, performance metrics, and relationship management.
• Develop and implement innovative national contracting strategies that leverage CVS Health’s integrated assets, including the care delivery model.
• Achieve strategic national network goals by successfully closing provider negotiations, managing day-to-day operations, and overseeing the full contracting lifecycle from strategy through execution.
• Drive execution and closure of complex national provider agreements, ensuring alignment with enterprise cost, adequacy, and compliance standards.
• Demonstrate strong executive presence in high-level engagements, facilitating strategic discussions with senior leadership to ensure alignment and support.
• Deliver compelling executive-level presentations that influence decision-making and advance enterprise-wide initiatives.
• Provide strategic direction and coaching to account executives to ensure high-impact engagement with Tenet and internal stakeholders.
• Manage the operational performance and infrastructure of the Tenet network to meet cost containment, profitability, and regulatory goals.
• Collaborate with Clinical and Medical Economics teams to analyze market trends and implement cost management strategies that improve medical cost outcomes.
• Evaluate market dynamics and partner with Clinical Functions to drive national initiatives that improve cost structure and partnership effectiveness.
• Oversee national agreements, Joint Operating Committees (JOCs), and complex projects, streamlining and centralizing operational processes for efficiency and scalability.
• Represent the organization in high-stakes negotiations and external engagements, ensuring alignment with legal, regulatory, and reputational standards.
• Establish national network strategy and drive innovation across traditional and emerging care models for all lines of business.
• Lead expansion efforts and strategic partnerships with Tenet to support enterprise growth and market differentiation, aligned with local and national goals.
• Foster strong collaboration across local networks and enterprise functions to ensure internal alignment and successful external partnerships.
• Develop and deliver key messaging and represent the company at industry conferences, external forums, and provider negotiations.
• Build and maintain trusted relationships with Market Chief Network Officers and Territory Chief Network Officers, and engage with Market Presidents, CFOs, and Medicare GMs to align and execute strategies that drive profitable membership growth.
Requirements:
• 10+ years of experience in healthcare contracting, medical economics and field or national network experience.
• Experience negotiating contracts with large hospital systems, including complex negotiations.
• Provider relations experience will be valued
• High emotional intelligence and cultural agility, with the ability to build strong relationships across diverse regional markets
• Deep understanding of market dynamics, cost drivers, and regulatory environments.
• Strong understanding of CMS regulation
• Ability to think strategically and broadly from a national enterprise perspective.
• Strong presentation and communication skills; ability to consult as well as negotiate.
• Strong analytical skills including root cause analysis.
• Skilled at collaborating and working across a complex matrixed organization.
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Apply Now
Apply Now